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Doctor insights on: Hypertrophy With Moderate Forarninal Stenosis Bilaterally

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Hello, really scared, looking for answers. ...... My mri reads L4-L5 moderate bilateral foraminal narrowing due to disk bulging and facet hypertrophy. No central stenosis. ...... I was told by my DR via x rays I have spondylothesis about 25 percent. ...

Hello, really scared, looking for answers. ...... My mri reads L4-L5 moderate bilateral foraminal narrowing due to disk bulging and facet hypertrophy. No central stenosis. ...... I was told by my DR via x rays I have spondylothesis about 25 percent. ...

See answer: Spondylolisthesis is a forward slippage of the 5th (usually)Lumbar vertebra. It is the most common cause of persistent back pain in young people. Each vertebra is connected to adjacent vertebra by two "bridges" of bone. In spondylolisthesis both bridges are fractured. Treatment is conservative unless there is persistent pain or progressive slippage. **See comments below ...Read more

Hypertrophy (Definition)

Hypertrophy is an increase in size of an organ or tissue, or a particular part of the body. Examples include muscle hypertrophy due to lifting weights, ventricular hypertrophy (enlargement of a ventricle of the heart) due to high blood pressure or other heart disorders, or prostatic hypertrophy (enlargement of ...Read more


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L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can I do?

L5 S1 Bilateral Facet Hypertrophy resulting in no significant central canal neuroforaminil stenosis. Been in pain for 10 months what can I do?

Ouch!: You're young to have this, unless you're prior military or did a lot of weight-bearing. Get to your ideal body weight. Strengthen core muscles with physical therapy/Pilates. Try oral NSAIDs & consider short oral steroid burst. No opioids/narcotics - more a curse than blessing. Try a TENS unit, acupunture, tilt table, hot/cold packs & last resort facet joint steroid injections/blocks. Hang in there ...Read more

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What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.

Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed. ...Read more

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There is left uncovertebral hypertrophy at c5-c6 causing mild to moderate left foraminal stenosis. What does the mean?

Spinal stenosis: This is a condition resulting from degenerative changes in the spine (for you, this would mean the neck). What actually happens is that the bone that protects the spinal cord becomes narrower. This causes pressure at different points on the spinal cord or nerve roots (causing numbness or other symptoms). Here's a great article which might help http://www. Niams. Nih. Gov/health_info/spinal_stenosis/ ...Read more

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Mri said I have hypertrophied facet joint causing moderate central spinal stenosis for which microd/hemilaminotomy done can I ever play soccer again?

Mri said I have hypertrophied facet joint causing moderate central spinal stenosis for which microd/hemilaminotomy done can I ever play soccer again?

Spine surgery: I believe exercise is good for the spine. I would allow you to play soccer only after physical therapy and proper back education. The microdiskectomy will decrease the pain you had before, but nw is the time to be smart, rehab the back and slowly return o activity. ...Read more

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What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

What does hypertrophic change at the T9-T10 facets bilaterally -severe left, moderate right osseous neural foraminal stenosis mean? Lots of pain

Cause for back pain.: It means your main nerves coming from your spine that run through your vertebrae can be suffering of compression because overgrowth of the bony area is squeezing it/them. The pain is caused by the nerve itself that might be irritated by contact with the vertebra. Nerves transmit sensation so pain is triggered this way. F/u with your doctor to create a plan of action for treatment. ...Read more

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What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

What does hypertrophic change at T9 &T10 facets bilaterally - severe left and moderate right osseous neural foraminal stenosis mean? Cat scan

Spinal stenosis: You have arthritis in the mid back (thoracic level 9/10). The joints that connect one level with the next are overgrown and compressing the spinal cord and pinching the nerves as they exit the canal. It is important to see a neurosurgeon for an examination to ensure that there is no neurological problems from this arthritis and to develop a treatment plan for pain relief. ...Read more

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Can a fall/back trauma cause djd? What is the difference between djd, sacrolitis and facet hypertrophy, osteophytes and stenosis/compression of l5-s

Can a fall/back trauma cause djd? What is the difference between djd, sacrolitis and facet hypertrophy, osteophytes and stenosis/compression of l5-s

Yes. DJD= Degenerat-: I've joint disease of a joint. Can affect any joint. If its in the back its called spondylosis; sacroiliitis= inflammation of the sacro-iliac joint, due to arthritis, injury or an infection;
facet hypertrophy= enlargement of the facet joints from arthritis; osteophytes= spurs of bone from arthritis;
stenosis= narrowing of the spine. Compression= pinching of a nerve from any cause. ...Read more

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Do both tricuspid valve stenosis and regurgitation result in hypertrophy in the right atrium?

Possibly: Tricuspid stenosis is more likely to cause hypertrophy (thickening) of the right ventricle, whereas tricuspid regurgitation is more likely to cause dilatation, where the chamber increases in volume without much thickening. ...Read more

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Can both tricuspid valve stenosis and tricuspid regurgitation result in hypertrophy in the right atrium?

Sort of: The right atrium tends to enlarge somewhat with both conditions; it is more so with tricuspid stenosis. Technically though it is an enlargement, not a hypertrophy (which means muscular thickening). Ra enlargement with tr would imply either severe tr or very elevated pulmonary resistance pressures. ...Read more

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Had LP done between l2/l3. Had disc bulge at L5 prior, no other pain/issues. Post LP mri- l3/4 disc bulge/tear, hypertrophy, stenosis. LP cause of it?

Probably not: If the lumbar puncture was done at the level above at L2-L3, does not seem logical to blame LP for a bad disc at the level below. ...Read more

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I have decided against open back surgery. What other treatment options do I have? G1 spondo, l&r stenosis, disc bulge, facet joint hypertrophy.

Limited: Good thing is that you may successfully manage your symptoms with conservative options including anti-inflammatories, physical therapy, spinal injections, bracing. Only few will need surgery. There are various minimally invasive type surgery out there, but remember if it sounds too true to believe, it is likely some marketing ploy. Make sure you are consulting with a well trained spine surgeon. ...Read more

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Almost constant twitching in left calf and some in right. I have mild lumbar scoliosis with hypertrophy and spinal stenosis. Could this cause this?

Twitching: How long has this been going on? It may be ok. It is a common symptom.

Twitching could be caused by some changes in your back, in particular if there are changes around S1, which is a common site for stenosis.

What is more important- are the calves strong? Do they seem like a normal size? If you can stand up on your toes/balls of your feet, it may be ok. ...Read more

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What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

What does all this mean? C2-3 small disk osteophyte complex with ventral thecal sac deformity. C4-5 disk osteophyte complex with ventral cord flattening. C 5-6 Facet arthropathy and uncovertebral hypertrophy is severe right neural foraminal stenosis. Face

Degenerative: Basically refers to degenerative (aging) changes of the spine. Disk/osteophyte refers to bone spur and/or disc protrusion, and facet/uncovertebral hypertrophy refers to arthritis of the joints at the back part (facets) and sides (uncovertebral) of the vertebrae. Ventral thecal sac deformity and ventral cord flattening refer to slight pressure on the spinal cord. Stenosis refers to pinched nerve. ...Read more

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What is the difference between pyloric stenosis and hypertrophic pyloric stenosis?

What is the difference between pyloric stenosis and hypertrophic pyloric stenosis?

Same entity: Some use the optional discriptor "hypertrophic" as an add on to pyloric stenosis. Ps is by caused by an overgrowth and tightening of the muscles surrounding the pyloric region of the small intestine. As such the "hypertrophic" is a redundant term. Some do a similar thing by saying yellow jaundicde when jaundice would be sufficient. ...Read more

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Is idiopathic hypertrophic subaortic stenosis for ablations safe?

Find the right dr: I believe you're referring to alcohol septal ablation, where alcohol is instilled into coronary artery to kill muscle that, due to genetic disease, has grown out of control. The procedure has a steep learning curve, with a fine line between achieving the desired result and damaging adjacent healthy tissue. An experienced physician is crucial--ballpark figure is at least 100-200 prior procedures. ...Read more

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What is the genome for idiopathic hypertrophic subaortic stenosis?

Autosomal Dom.: Many genes code for this anomaly of sarcomere proteins: chr 14 in the beta-myosin heavy chain; protein c cardiac myosin. This error creates some degree of left ventricular hypertrophy involving the septum between the ventricles: asymmetric septal hypertrophy. Lethal arrhythmias may occur. Genetic testing is available. Seek opinion of a cardiologist. ...Read more

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What is scientific definition of idiopathic hypertrophic subaortic stenosis?

Ok: Idiopathic--unknown cause
hypertrophic-thickened enlarged
sub aortic below aortic valve
septal - inner wall of the heart between left and right ventricles
stenosis- narrowing of the left ventricular outflow in this situation. ...Read more

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What does mild hypertrophic changes of the acromioclavicular joint mean also no outlet stenosis mean?

Degenerative changes: It sounds like degenerative changes or arthritic changes of the joint (the joint that joins collar bone with acromion or prominence of the shoulder). No outlet stenosis means, there is no pinching or narrowing of a space. I am not sure if they are referring to another part of body, since the term applies to the openings in the joint or tissue that allows passage of nerves and blood vessels. ...Read more

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Mri-very mild broad disc bulge with posterior element hypertrophic changes causing minimal neural foraminal stenosis inferiorly. What does this mean?

Mri-very mild broad disc bulge with posterior element hypertrophic changes causing minimal neural foraminal stenosis inferiorly. What does this mean?

"Arthritic spurs": The radiologist that read the MRI is simply referring to arthritic spurs that are growing forward into the small space on each side of the spine where the nerves exit.

Keep in mind that this is very common in people with no pain at all. This is only relevant if it correlates with your symptoms and physical exam findings. ...Read more

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Body hurts constantly. Bulging disc in neck, lumbar hypertrophic disease, beginnings of spinal stenosis. How to ease pain without narcotics?

Body hurts constantly. Bulging disc in neck, lumbar hypertrophic disease, beginnings of spinal stenosis. How to ease pain without narcotics?

Physical therapy, ice, Arnica.: physical therapy exercises, including stretching exercises, may be very helpful. Ice applications to the area may decrease pain as well. Arnica is a natural anti-inflammatory that may also give you some relief. Acupuncture, massage, meditation our other conservative approaches that may help you. Spine injections can also be an option. ...Read more

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Severe right & moderate left faucet arthropathy Severe left & moderate right foraminal and bilateral recess stenosis. Is this nerve root impingement?

Severe right & moderate left faucet arthropathy Severe left & moderate right foraminal and bilateral recess stenosis. Is this nerve root impingement?

Maybe: Radiographic findings always need to be correlated to physical examination signs and clinical symptoms. If there are symptoms, perhaps; if not, then the nerve root is not affected. ...Read more

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What is the best treatment for "Stable multilevel degenerative changes resulting in up to moderate bilateral neural foraminal stenosis at L4-5.

L4-5: First you should think if you are having any symptoms because of your back bone stenosis. If you are, then that will need to be dealt with. If you have no symptoms and the back bone sites are stable, then there is nothing to be done at this time. You might check with your orthopod or neurosurgeon regarding back braces for support. ...Read more

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Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

Bulging of l5/s1 combined w loss of disc space height causing moderate bilateral neural foraminal stenosis slight compression of L5 nerve roots?

What is the question: You have not asked a question. What you have is osteoarthritis at l5-s1 of a moderate degree. If back pain is a significant issue you have several options that can help. See an orthopedist or rheumatologist. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Al Hegab
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Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more